摘要
目的前瞻性评估提高新生儿病房环境物体表面清洁消毒质量对降低新生儿败血症发病率的影响效果。方法采用荧光标记法、培训及反馈、加强终末消毒等措施对某三级甲等医院新生儿病房高频接触物体表面清洁效果和干预措施进行评价。结果新生儿病床表面和仪器设备表面高频接触点荧光标记清除率从干预前的87.36%和75.81%上升至干预后的99.43%和96.62%,差别有统计学意义(χ~2=2117.04,783.118;P<0.001);干预措施实施后,新生儿病房败血症感染发病率3.44%及日感染发病率2.83‰均低于干预前的5.97%及4.62‰,差异有统计学意义(P<0.05)。结论使用荧光标记法进行监测及反馈,结合对卫生保洁人员教育培训、加强终末消毒,可以有效改进环境清洁消毒效果,可以降低新生儿败血症感染的发生。
OBJECTIVE To prospectively evaluate the effect of improving the quality of environmental cleaning reducing the and disinfection on incidence of septicemia in neonates.METHODS The effects of cleaning the high-frequency contact objects surfaces in neonatal wards of a three-A hospital and the intervention measures were evaluated by means of fluorescent labeling method,training and feedback,as well as intensive terminal disinfection.RESULTS The clearance rates of fluorescent markers for high-frequency contact points of the bed surfaces and instrument surfaces were significantly increased from 87.36% and 75.81% before the intervention to 99.43% and96.62% after the intervention（χ2=2117.04,783.118;P〈0.001）.The incidence of septicemia and daily mortality rate were respectively 3.44%and 2.83‰in the neonatal wards after the intervention measures were taken,significantly lower than 5.97%and 4.62‰ before the intervention measures were taken（P〈0.05）.CONCLUSIONIt is an effective way to conduct the monitoring and feedback by using fluorescent labeling method,carry out the education and training for cleaning staff and strengthen the terminal disinfection so as to improve the effect of environmental cleaning and disinfection and prevent the septicemia.
作者
程莉莉
张秀月
毛健
姜红
金盈月
CHENG Li-li;ZHANG Xiu-yue;MAO Jian;JIANG Hong;JIN Ying-yue(Shengjing Hospital of China Medical University,Shenyang,Liaoning,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第18期2825-2828,共4页
Chinese Journal of Nosocomiology
关键词
新生儿败血症
卫生保洁人员
荧光标记法
高频接触点
Septicemia
Cleaning staff
Fluorescent labeling method
High-frequency contact point
